Related Experiment Video
Updated: Jul 11, 2026

Contractility Measurements on Isolated Papillary Muscles for the Investigation of Cardiac Inotropy in Mice
Published on: September 17, 2015
Determinants of frequency-dependent contraction and relaxation of mammalian myocardium
Paul M L Janssen1, Muthu Periasamy
1Department of Physiology and Cell Biology, The Ohio State University, 304 Hamilton Hall, 1645 Neil Avenue, Columbus, OH 43210-1218, USA. janssen.10@osu.edu
Insights
Heart rate increases boost cardiac output through more beats and stronger contractions. This review explores how heart cells adapt to faster rates, ensuring efficient heart function during exercise and stress.
Area of Science:
- Cardiology
- Physiology
Background:
- Cardiac output regulation is vital for meeting metabolic demands during exercise and stress.
- Increased heart rate is a primary driver of elevated cardiac output.
- Myocardial force generation and relaxation kinetics are critical for maintaining cardiac function at higher rates.
Purpose of the Study:
- To review the cellular mechanisms underlying frequency-dependent cardiac activation.
- To elucidate how intracellular calcium handling and myofilament responsiveness change with heart rate.
- To understand the basis of faster cardiac activation and relaxation kinetics.
Main Methods:
- Literature review focusing on cellular and molecular mechanisms.
- Analysis of studies investigating calcium transients in cardiomyocytes.
- Examination of research on myofilament properties and their rate-dependence.
Main Results:
- Higher heart rates lead to faster cardiac activation and relaxation.
- Intracellular calcium transient dynamics are modulated to accommodate increased frequency.
- Myofilament responsiveness to calcium is altered, contributing to rate-dependent force changes.
Conclusions:
- Cellular adaptations in calcium handling and myofilament function are essential for maintaining cardiac output at elevated heart rates.
- Understanding these mechanisms is key to comprehending heart performance during physiological stress.
- Rate-dependent changes in cardiac kinetics are crucial for adequate ventricular filling and function.
Abstract:
An increase in heart rate is the primary mechanism that up-regulates cardiac output during conditions such as exercise and stress. When the heart rate increases, cardiac output increases due to (1) an increased number of beats per time period, and (2) the fact that myocardium generates a higher level of force. In this review, we focus on the underlying mechanisms that are at the basis of frequency-dependent activation of the heart. In addition to increased force development, the kinetics of both cardiac activation and relaxation are faster. This is crucial, as in between successive beats there is less time, and cardiac output can only be maintained if the ventricle can fill adequately. We will discuss the cellular mechanisms that are involved in the regulation of rate-dependent changes in kinetics, with a focus on changes that occur in regulation of the intracellular calcium transient, and the changes in the myofilament responsiveness that occur when the heart rate changes.
Related Concept Videos
Specialized Characteristics of Cardiac Muscles
Cardiac muscle cells are smaller than skeletal muscles, averaging 10–20 mm in diameter and 50–100 mm in length. However, they have large energy demands for continuous contraction and relaxation. This energy is almost exclusively derived from aerobic metabolism of energy reserves in...
Pathophysiology of Cardiac Performance
Muscle Stimulation Frequency
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...
Smooth Muscle Contraction
The onset of contraction is triggered by an increase in calcium ions within the sarcoplasm, similar to the process in striated muscle. However, smooth muscles have a relatively smaller reservoir of the sarcoplasmic...
Relaxation of Skeletal Muscles
When an action potential reaches the axon terminal, it depolarizes the membrane and opens voltage-gated sodium channels. Sodium ions enter the cell, further depolarizing the presynaptic membrane. This depolarization causes voltage-gated calcium channels to open.
Motor Unit Stimulation
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...

